Can I Break My Hip Again With a Rod in Place

Overview

Hip fracture common occurs on the upper femur – on the femoral neck or intertrochanteric area.

What is a hip fracture?

A hip fracture happens when the upper part of the thighbone (femur) breaks. The injury usually results from a fall or car accident. Hip fractures are more than mutual in older people because basic weaken and become more than breakable with age.

Virtually hip fractures cause astringent pain and require surgery immediately. Some people demand a total hip replacement later on a hip fracture. Concrete therapy (PT) can ameliorate the outlook for people with hip fractures.

How common is a hip fracture?

Fractures of the hip are mutual. In the The states, more than than 300,000 people fracture a hip every year. Risk factors for a hip fracture include:

• Age: Hip fractures are more common in people over 65. With age, bones suspension down, weaken and go more than brittle. Older people are more than likely to accept bug with move and residuum, which can lead to a autumn.
• Gender: Nigh 75% of hip fractures happen to older women. Women lose bone mass afterwards menopause. Weak bones are more probable to suspension.
• Lifestyle: People who alive a sedentary lifestyle (don't get much exercise) are more likely to fracture a hip. Drinking too much alcohol can likewise weaken bones and increase your fracture risk.
• Medications: Some medications increase the run a risk of falls. Drugs that cause drowsiness or a driblet in claret force per unit area can cause you lot to lose your balance. Talk to your provider about taking these medications safely.
• Osteoporosis: This illness causes bones to go weak and porous, increasing the risk of fracture. Women are iv times more likely to have osteoporosis than men.
• Overall wellness: People who don't get enough vitamin D, calcium and other nutrients have a higher fracture risk. Some health atmospheric condition, such every bit dementia and Parkinson's disease, increase the adventure of a fall.

What part of the hip tin can intermission?

The ball-and-socket hip joint includes the upper role of the thighbone (femur) and the curved hip socket (acetabulum) of the hipbone (pelvis). The round meridian of the femur (the "brawl," or femoral head) fits into the hip socket to course the joint. Muscles, tendons, ligaments and soft tissues back up the articulation.

Hip fractures can occur in several areas of the upper femur. The almost common types of hip fractures are:

• Femoral cervix fracture: The neck is the expanse of bone just beneath the femoral head (ball).
• Intertrochanteric fracture: The intertrochanteric area is the part of the femur that lies betwixt the femoral neck and the long, directly part of the femur.

Symptoms and Causes

What are the symptoms of a hip fracture?

Symptoms of a hip fracture typically come on suddenly. But they can appear gradually and worsen with time. Signs of a hip fracture include:

• Hurting: Usually, hip pain is severe and sharp. Merely it can also be mild or achy. Virtually people experience pain in the thigh, outer hip, pelvis and groin area. Pain may radiate downwardly your buttock to your leg (sciatica). Y'all may likewise experience pain in your knee.
• Express mobility: Nearly people with a hip fracture tin can't stand or walk. Sometimes, it may exist possible to walk, but it'due south extremely painful to put weight on the leg.
• Physical changes: You may have a bruise on your hip. One of your legs may announced shorter than the other. The hip might look like it'south out of position, twisted or rotated.

What causes a hip fracture?

Most hip fractures result from an accident, such equally a fall or car crash. Athletes, especially long-distance runners, can fracture a hip with repeated use (stress fracture).

In older people, hip fractures tin result from a minor fall or from twisting or pivoting all of a sudden. People with osteoporosis can suspension a hip doing everyday activities such as walking or getting out of a chair.

Diagnosis and Tests

How is a hip fracture diagnosed?

Your healthcare provider volition examine the surface area and enquire well-nigh any recent accidents or falls. To check for nervus damage (neuropathy), your provider may touch your foot or leg and ask if you experience any sensation.

To diagnose a fracture and check for damage to soft tissues, your provider orders imaging studies. These may include:

• X-ray, which uses radiation to produce images of your basic.
• MRI , an imaging test that uses a high-powered magnet to create pictures of bones and soft tissues.
• CT scan , a test that uses a estimator and several X-rays to permit your provider to see detailed images of the damaged area.

Management and Handling

Can hip fractures exist treated?

Hip fracture handling depends on your age, overall wellness and type of injury. Nigh hip fractures require surgery within a day or two after the injury. Merely some people aren't healthy enough for surgery due to their age or other conditions.

Your provider will recommend the most advisable treatment for you, which may include:

• Surgery: Most hip fractures need surgical repair. At that place are several hip surgery techniques. Your provider may use metal screws, nails or plates to secure the bones and keep them in place.
• Hip replacement: Depending on the type of injury, you lot may demand a partial or total hip replacement. After hip replacement surgery, your provider may recommend that you recover in a rehabilitation facility.
• Concrete therapy (PT): Your physical therapist will create a PT program to assist y'all regain move, flexibility and forcefulness. If you had a hip replacement, special exercises after hip replacement surgery can significantly better your range of move.
• Medications: Over-the-counter and prescription hurting medications can help you manage pain and reduce inflammation. If you had surgery for a hip fracture, you may receive antibiotics to reduce the risk of infection.

Prevention

Can I forbid a hip fracture?

You lot may non be able to prevent a broken hip. But you can lower your hazard of a fracture by:

• Being active: Exercise increases musculus forcefulness and helps you forestall bone loss. Swimming, tai chi and weight-bearing exercises improve strength and balance.
• Eating correct: A diet that includes vitamin D and calcium can strengthen your bones.
• Getting regular checkups: Talk to your provider most bone density tests that spot signs of osteoporosis. Your provider may recommend medications called bisphosphonates that slow bone loss and strengthen bones.
• Preventing accidents: Go on your home free from hazards (such as throw rugs) that might cause a fall. Take care when using stairs or walking in icy conditions. If you lot take Parkinson's illness, talk to your provider virtually how to prevent falls and maintain your rest.
• Staying healthy: Maintain a salubrious weight, don't fume and avoid drinking too much alcohol.
• Updating your eyeglasses: Vision problems can increase your risk of a fall. Get your vision checked with regular eye exams. Make sure your eyeglass and contact lens prescriptions are updated.

Outlook / Prognosis

What is the outlook for people with hip fractures?

A hip fracture can be life-changing. Many older people don't regain full mobility or independence later on a hip fracture. Some people need a cane or walker to get around. Other people may need full-time care.

The outlook depends on several factors, including:

• Age: Older people may non heal from a fracture as speedily, and some aren't healthy enough for surgery. Without surgery, many people stay in bed because they tin can't motion without pain. Long-term bed balance can lead to serious health problems, including bedsores, blood clots and pneumonia.
• Overall health: People who move soon after hip surgery accept a much better prognosis. If you're otherwise healthy, you lot should go up and walk around inside a day or two after surgery. Moving speeds the healing process and reduces the take a chance of complications from bed rest.
• Type of fracture: A femoral neck fracture can cut off the blood supply to the femoral caput, causing the bone to suspension downwards and dice (osteonecrosis). If the injury also damaged other tissues (such as nerves or claret vessels), recovery ordinarily takes longer.

Living With

When should I come across my healthcare provider about a hip fracture?

A fractured hip is an emergency. Telephone call your provider right abroad or get to the emergency room if you have signs of a hip fracture.

A note from Cleveland Clinic

A broken hip can be life-changing, especially for older people with other wellness conditions. Physical therapy can significantly amend outcomes for people with a hip fracture. To prevent a hip fracture, you should stay healthy, get plenty of exercise and visit your provider for regular checkups. If yous have osteoporosis, talk to your provider about medications that can wearisome bone loss and aid you avoid a fracture.

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Source: https://my.clevelandclinic.org/health/diseases/17101-hip-fracture